Study concept and design: Teno, Gozalo, Tyler, Mor.
Acquisition of data: Teno, Mor.
Analysis and interpretation of data: Teno, Gozalo, Mitchell, Mor.
Drafting of the manuscript: Teno, Mitchell, Mor.
Critical revision of the manuscript for important intellectual content: Teno, Gozalo, Mitchell, Tyler, Mor.
Statistical analysis: Teno, Gozalo.
Obtained funding: Teno, Mor.
Administrative, technical, or material support: Teno, Tyler, Mor.
Study supervision: Teno, Mor.
Conflict of Interest Disclosures: The authors have completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest. Dr Teno reported serving on the National Hospice and Palliative Care Organization board of directors. Dr Mor reported serving on the board of the Tufts Health Plan Foundation, Home and Hospice Care of Rhode Island, Jewish Alliance of Rhode Island, PointRight Inc, NaviHealth Inc, hcr-Manorcare, and AcademyHealth; serving as a consultant to the Alliance for Nursing Home Quality, Abt Associates Inc, Econometric Inc, Research Triangle Inc, and AARP Public Policy Center; providing expert testimony for the Senate Health and Aging Committee on End of LIfe Care and for a Congressional Briefing by Kidney Care Partners; has received payment for lectures from the Alliance for Nursing Home Quality, Yale University, Rutgers University, and the Congressional Budget Office; and owning stock in PointRight Inc and NaviHealth Inc. No other disclosures were reported.
Funding/Support: Funding for this research was provided by National Institute on Aging grant P01AG027296 and from the Commonwealth Fund.
Role of the Sponsor: The National Institute on Aging and the Commonwealth Fund had no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; and preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication.